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Contract Details
A Physiotherapy Associates Company
Facility name
Rehab Associates - Selma
Provider ID
P000002363
NPI
1629087150
Tax ID
721379381
Effective Date
2/1/2006
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1391 East Highland Avenue Suite 103
Selma, AL 36703
United States
County
Dallas
Phone
3348756110
(
Phone
)
Billing Details
Address
P.O. Box 1245
Indiana, PA 15701
Billing Phone
7244653496
Specialty Type
Physical Therapy
Map
Address